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2025 ICD-10-CM code F10.982

Unspecified alcohol use with alcohol-induced sleep disorder. This condition involves excessive alcohol consumption leading to disturbed sleep patterns, where the extent of alcohol use isn't documented but the resulting sleep disorder is.

Do not assign a code from the alcohol use disorder codes (F10.-) if the patient is in remission. If both alcohol and another substance are contributing to a sleep disturbance, use additional codes to document the effects of each substance. Do not use this code if the documentation clearly indicates alcohol dependence or abuse, for which specific codes exist (F10.1-, F10.2-).

The medical necessity of F10.982 lies in the clinical significance of the alcohol-induced sleep disorder.Even though the extent of alcohol use is unspecified, the diagnosis highlights the adverse impact of alcohol on the patient's sleep and overall health.This justifies the need for interventions like behavioral therapy, counseling, or medication management to address the sleep disorder and underlying alcohol use.

Clinicians diagnose this condition through a comprehensive approach, including: Detailed patient history taking, focusing on alcohol consumption patterns and sleep disturbances. Thorough physical examination to identify any physical manifestations of alcohol use or sleep disorder. Assessment of the patient's personal and social behavior to understand the impact of alcohol on their daily life. Laboratory tests, including blood tests for alcohol and thiamine levels. Inquiry into signs and symptoms, such as difficulty falling asleep, frequent waking during the night, daytime fatigue, anxiety, depression, and irritability.

In simple words: This code describes a situation where someone drinks too much alcohol and it causes them to have trouble sleeping. The doctor knows the person's sleep problems are caused by alcohol, but they don't know exactly how much alcohol the person drinks.

Unspecified alcohol use with alcohol-induced sleep disorder refers to a condition where excessive alcohol consumption results in disrupted sleep. The specific extent of alcohol use is not documented by the provider, but the presence of a sleep disorder directly caused by alcohol use is confirmed.Harmful alcohol consumption is defined as more than 14 drinks per week or 4 drinks per occasion for men, and more than 7 drinks per week or 3 drinks per occasion for women and individuals over 65. Alcohol use disorder is characterized by continued consumption despite negative consequences. Though often perceived as a sedative, alcohol can disrupt sleep, leading to difficulties falling and staying asleep, restlessness, and daytime fatigue.Additional symptoms may include anxiety, depression, irritability, mood swings, delusions, and other behavioral problems impacting personal and professional life. Alcohol use can contribute to conditions like liver cirrhosis, kidney cancer, pancreatitis, and cardiovascular and gastrointestinal disorders. Diagnosis involves patient history, signs and symptoms, assessment of personal and social behavior, physical examination, and lab tests for alcohol and thiamine levels. Treatment includes behavioral therapy, counseling, group therapy, thiamine supplementation (if necessary), and medication.

Example 1: A 40-year-old male presents with complaints of insomnia and daytime fatigue. He admits to drinking several beers nightly to "unwind." While the exact amount of alcohol consumed is unclear, the physician determines that the sleep disturbance is directly related to the alcohol use, thus justifying the F10.982 code., A 55-year-old female patient with a history of anxiety reports difficulty sleeping. She acknowledges drinking wine most evenings but is hesitant to disclose the quantity. The physician documents alcohol-induced sleep disorder based on her symptoms and admission of alcohol use, despite the unspecified amount, making F10.982 applicable., A 60-year-old man undergoing treatment for depression reports persistent sleep problems. He mentions consuming alcohol occasionally but denies excessive drinking. The physician, suspecting a link between alcohol use and sleep disruption, orders a blood alcohol test. Based on the test results and the patient's sleep difficulties, the physician diagnoses alcohol-induced sleep disorder with unspecified alcohol use, using code F10.982.

The required documentation for using F10.982 includes: Clinical evidence of a sleep disorder, such as difficulty falling asleep, frequent awakenings, early morning awakening, or non-restorative sleep. Patient acknowledgment of alcohol consumption. Physician's clinical judgment establishing the causal link between alcohol use and the sleep disorder. Even though the specific amount or pattern of alcohol use may not be documented, the connection between alcohol and sleep disruption must be clearly noted.

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